Journal articles on the topic 'Groin/hip injury'
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Trentacosta, Natasha, Dai Sugimoto, and Lyle J. Micheli. "Hip and Groin Injuries in Dancers: A Systematic Review." Sports Health: A Multidisciplinary Approach 9, no. 5 (August 7, 2017): 422–27. http://dx.doi.org/10.1177/1941738117724159.
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Context: Injury data on hip and groin injuries vary, and these injuries are often misrepresented or overlooked for more commonly seen injuries, such as those to the foot and ankle. Objective: To provide a systematic review of the injury rates of hip and groin pathology in dancers and look to establish a better understanding of the occurrence of hip and groin injuries in the dancer population. Data Sources: A literature search was performed using PubMed and CINAHL databases for articles published between 2000 and 2016. Study Selection: Inclusion criteria consisted of (1) documentation of the number of hip and/or groin injuries, (2) study population consisting of dancers whose training included some level of ballet, and (3) studies of levels 1 through 3 evidence. Study Design: Systematic review. Level of Evidence: Level 3. Data Extraction: A single reviewer identified studies that met the inclusion criteria. The number of overall injuries, hip/groin injuries, study participants, injured participants, training hours per week, mean age of study group, injury definition, injury reporting method, and study time frame were extracted. Results: Thirteen unique studies were included in the descriptive analysis. Of the 2001 dancers included in this study, 3527 musculoskeletal injuries were seen in 1553 dancers. Of these, 345 injuries were localized to the hip and groin region (overall rate, 17.2%). An incidence rate of 0.09 hip and groin injuries per 1000 dance-hours was seen in the selected cohort studies. Of 462 professional dancers, 128 hip/groin injuries were recorded, for an injury rate of 27.7%. Of the 1539 student dancers, 217 hip/groin injuries were recorded, for an injury rate of 14.1% ( P < 0.01). Conclusion: Data on hip and groin injuries have many limitations. However, these injuries represent an important health issue for dancers of all skill levels, encompassing 17.2% of musculoskeletal injuries seen in dancers. An increasing rate of hip/groin injuries is seen in professional dancers compared with students.
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Dowson, D. J. "Hip and groin pain in sub-elite South African footballers." South African Journal of Sports Medicine 27, no. 4 (May 25, 2016): 114. http://dx.doi.org/10.17159/2413-3108/2015/v27i4a1265.
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Background. Groin injuries are common in football. This can be attributed to the nature of the sport involving rapid accelerations, decelerations, abrupt directional changes and kicking. Groin injuries require lengthy rehabilitation times and predispose players to further injuries. Previous groin injury is a risk factor for future groin injuries, suggesting players are inadequately rehabilitated or the original cause has not been addressed. Objectives. To describe the prevalence, nature and treatment patterns of groin injuries in sub-elite players, and to investigate differences in hip strength and range of motion between players with and without a history of groin injury. Method. Thirty sub-elite, senior university male players were interviewed and questioned regarding groin injuries sustained in the preceding three years. They were assessed using the HAGOS questionnaire, and underwent isokinetic hip flexion/extension strength, adductor squeeze and range of motion tests. Results. Seventeen players (57%) reported having a previous groin injury, with an average score of 83 (16) [mean (SD)] on the HAGOS, compared with 92 (5) for non-injured players. Of the previously injured players, 29% did not seek treatment from a medical professional. Injuries included adductor strain (35%), inguinal-related (18%), iliopsoas-related (12%) and hip joint pathology (6%). The average time off was 25 days. There were no significant differences in isokinetic hip flexion/extension strength, adductor strength and range of motion. Conclusion. The prevalence of groin injuries in this population is relatively high (57%) and requires lengthy rehabilitation time. The HAGOS is a suitable tool to identify groin pain in this population within the sports and recreation and quality of life subscales. Isokinetic hip strength and range of motion testing lacked sensitivity in detecting deficits in players with a previous groin injury. Only two-thirds of injured players consulted a medical practitioner, increasing the likelihood that rehabilitation was inadequate. It is therefore recommended that player/coach education regarding injury management improve in order to reduce subsequent injuries. Keywords. HAGOS, groin injury, prevalence, range of motion, isokinetic strength
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Werner, Jonas, Martin Hägglund, Jan Ekstrand, and Markus Waldén. "Hip and groin time-loss injuries decreased slightly but injury burden remained constant in men’s professional football: the 15-year prospective UEFA Elite Club Injury Study." British Journal of Sports Medicine 53, no. 9 (April 24, 2018): 539–46. http://dx.doi.org/10.1136/bjsports-2017-097796.
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BackgroundHip and groin injuries are common in men’s professional football, but the time-trend of these injuries is not known.AimTo investigate hip and groin injury rates, especially time-trends, in men’s professional football over 15 consecutive seasons.Study designProspective cohort study.SettingMen’s professional football.Methods47 European teams were followed prospectively for a varying number of seasons between 2001/2002 and 2015/2016, totalling 268 team seasons. Time-loss injuries and individual player exposure during training and matches were recorded. Injury rate was defined as the number ofinjuries/1000 hours and injury burden as the number oflay-off days/1000 hours. Time-trends for total hip and groin injuries and adductor-related injury rates were analysed using Poisson regression, and injury burden was analysed using a negative binomial regression model.ResultsHip and groin injuries contributed 1812 out of 12 736 injuries (14%), with adductor-related injury as the most common of hip and groin injuries (n=1139, 63%). The rates of hip and groin injury and adductor-related injury were 1.0/1000 hours and 0.6/1000 hours, and these rates decreased significantly with on average 2% (Exp(b)=0.98, 95% CI 0.97 to 0.99, P=0.003) and 3% (Exp(b)=0.97, 95% CI 0.95 to 0.99, P<0.001) per season (year on year), respectively. The seasonal trend of hip and groin injury burden did not improve (Exp(b)=0.99, 95% CI 0.97 to 1.01, P=0.40).ConclusionsHip and groin injuries constitute a considerable part of all time-loss injuries in men’s professional football. Although there was a promising slight decreasing trend in the rates of hip and groin injury (as a category) and adductor-related injury (as a specific diagnosis), the injury burden remained at a consistent level over the study period.
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Esteve, Ernest, Michael Skovdal Rathleff, Jordi Vicens-Bordas, Mikkel Bek Clausen, Per Hölmich, Lluís Sala, and Kristian Thorborg. "Preseason Adductor Squeeze Strength in 303 Spanish Male Soccer Athletes: A Cross-sectional Study." Orthopaedic Journal of Sports Medicine 6, no. 1 (January 1, 2018): 232596711774727. http://dx.doi.org/10.1177/2325967117747275.
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Background: Hip adductor muscle weakness and a history of groin injury both have been identified as strong risk factors for sustaining a new groin injury. Current groin pain and age have been associated with hip adductor strength. These factors could be related, but this has never been investigated. Purpose: To investigate whether soccer athletes with past-season groin pain and with different durations of past-season groin pain had lower preseason hip adductor squeeze strength compared with those without past-season groin pain. We also investigated whether differences in preseason hip adductor squeeze strength in relation to past-season groin pain and duration were influenced by current groin pain and age. Study Design: Cross-sectional study; Level of evidence, 3. Methods: In total, 303 male soccer athletes (mean age, 23 ± 4 years; mean weight, 74.0 ± 7.9 kg; mean height, 178.1 ± 6.3 cm) were included in this study. Self-reported data regarding current groin pain, past-season groin pain, and duration were collected. Hip adductor squeeze strength was obtained using 2 different reliable testing procedures: (1) the short-lever (resistance placed between the knees, feet at the examination bed, and 45° of hip flexion) and (2) the long-lever (resistance placed between the ankles and 0° of hip flexion) squeeze tests. Results: There was no difference between those with (n = 123) and without (n = 180) past-season groin pain for hip adductor squeeze strength when adjusting for current groin pain and age. However, athletes with past-season groin pain lasting longer than 6 weeks (n = 27) showed 11.5% and 15.3% lower values on the short-lever ( P = .006) and long-lever ( P < .001) hip adductor squeeze strength tests, respectively, compared with those without past-season groin pain. Conclusion: Male soccer athletes with past-season groin pain lasting longer than 6 weeks are likely to begin the next season with a high-risk groin injury profile, including a history of groin pain and hip adduction weakness.
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Kerbel, Yehuda E., Christopher M. Smith, John P. Prodromo, Michael I. Nzeogu, and Mary K. Mulcahey. "Epidemiology of Hip and Groin Injuries in Collegiate Athletes in the United States." Orthopaedic Journal of Sports Medicine 6, no. 5 (May 1, 2018): 232596711877167. http://dx.doi.org/10.1177/2325967118771676.
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Background: Hip and groin pain is a common complaint among athletes. Few studies have examined the epidemiology of hip and groin injuries in collegiate athletes across multiple sports. Purpose: To describe the rates, mechanisms, sex-based differences, and severity of hip/groin injuries across 25 collegiate sports. Study Design: Descriptive epidemiology study. Methods: Data from the 2009-2010 through 2013-2014 academic years were obtained from the National Collegiate Athletic Association Injury Surveillance Program (NCAA ISP). The rate of hip/groin injuries, mechanism of injury, time lost from competition, and need for surgery were calculated. Differences between sex-comparable sports were quantified using rate ratios (RRs) and injury proportion ratios (IPRs). Results: In total, 1984 hip/groin injuries were reported, giving an overall injury rate of 53.06 per 100,000 athlete-exposures (AEs). An adductor/groin tear was the most common injury, comprising 24.5% of all injuries. The sports with the highest rates of injuries per 100,000 AEs were men’s soccer (110.84), men’s ice hockey (104.90), and women’s ice hockey (76.88). In sex-comparable sports, men had a higher rate of injuries per 100,000 AEs compared with women (59.53 vs 42.27, respectively; RR, 1.41 [95% CI, 1.28-1.55]). The most common injury mechanisms were noncontact (48.4% of all injuries) and overuse/gradual (20.4%). In sex-comparable sports, men had a greater proportion of injuries due to player contact than women (17.0% vs 3.6%, respectively; IPR, 4.80 [95% CI, 3.10-7.42]), while women had a greater proportion of injuries due to overuse/gradual than men (29.1% vs 16.7%, respectively; IPR, 1.74 [95% CI, 1.46-2.06]). Overall, 39.3% of hip/groin injuries resulted in time lost from competition. Only 1.3% of injuries required surgery. Conclusion: Hip/groin injuries are most common in sports that involve kicking or skating and sudden changes in direction and speed. Most hip/groin injuries in collegiate athletes are noncontact and do not result in time lost from competition, and few require surgery. This information can help guide treatment and prevention measures to limit such injuries in male and female collegiate athletes.
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Papaliodis, Dean N., Michael B. Banffy, Orr Limpisvasti, Karen Mohr, Nima Mehran, Christos D. Photopoulos, Ronald Kvitne, and Neal S. ElAttrache. "The Development and Validation of a Subjective Assessment Tool for the Hip in the Athletic Population." American Journal of Sports Medicine 45, no. 11 (July 23, 2017): 2517–23. http://dx.doi.org/10.1177/0363546517708200.
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Background: No validated functional assessments are available that are designed specifically to evaluate the performance and function of the athletic hip. Subsections of some validated outcome assessments address recreation, but a full assessment dedicated to athletic hip function does not exist. Current hip scoring systems may not be sensitive to subtle changes in performance and function in an athletic, younger population. Hypothesis: The patient-athlete subjective scoring system developed in this study will be validated, reliable, and responsive in the evaluation of hip function in the athlete. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Based on the results of a pilot questionnaire administered to 18 athletic individuals, a final 10-item questionnaire was developed. Two hundred fifty competitive athletes from multiple sports completed the final questionnaire and 3 previously validated hip outcome assessments. Each athlete was self-assigned to 1 of 3 injury categories: (1) playing without hip/groin trouble; (2) playing, but with hip/groin trouble; and (3) not playing due to hip/groin trouble. The injury categories contained 196, 40, and 14 athletes, respectively. Correlations between the assessment scores and injury categories were measured. Responsiveness testing was performed in an additional group of 24 injured athletes, and their scores before and after intervention were compared. Results: The Kerlan-Jobe Orthopaedic Clinic (KJOC) Athletic Hip Score showed high correlation with the modified Harris Hip Score, the Nonarthritic Hip Score, and the International Hip Outcome Tool. The new score stratified athletes by injury category, demonstrated responsiveness and accuracy, and varied appropriately with improvements in injury category after treatment of injuries. Conclusion: The new KJOC Athletic Hip Score is valid, reliable, and responsive for evaluation of the hip in an athletic population. The results support its use for the functional assessment of the hip in future studies.
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Markovic, Goran, Nejc Šarabon, Jelena Pausic, and Vedran Hadžić. "Adductor Muscles Strength and Strength Asymmetry as Risk Factors for Groin Injuries among Professional Soccer Players: A Prospective Study." International Journal of Environmental Research and Public Health 17, no. 14 (July 9, 2020): 4946. http://dx.doi.org/10.3390/ijerph17144946.
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The aim of this study was to prospectively examine the association between isometric hip adductor strength and between-limb strength asymmetry to groin injuries in male professional soccer players. Isometric hip adductor strength and between-limb strength asymmetry of 45 professional outfield soccer players from three First Division teams were tested during the 2017/2018 preseason. Players were then monitored throughout the 2017/2018 season for groin injuries. Ten groin injuries were recorded. When compared with uninjured players, players who sustained groin injury had significantly lower strength of respective muscle groups and significantly higher between-limb strength asymmetries (all p < 0.05; ES = 1.16 and 0.88; mean % difference = 26% and 51%). Isometric hip adductor strength had a significant inverse relationship with the incidence of occurring groin injuries (p = 0.016). No significant relationship between hip adductor strength asymmetry and the incidence of future groin injury was observed (p = 0.09). Finally, players’ age and previous groin injury were not significantly associated with the incidence of future groin injuries (all p > 0.05). These results generally suggest that isometric adductor strength is a significant predictor of future groin injuries in men’s professional football; however, due to the relatively low sample size, further studies are required.
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Ralston, Bridget, Jaymeson Arthur, Justin L. Makovicka, Jeff Hassebrock, Sailesh Tummala, David G. Deckey, Karan Patel, Anikar Chhabra, and David Hartigan. "Hip and Groin Injuries in National Collegiate Athletic Association Women’s Soccer Players." Orthopaedic Journal of Sports Medicine 8, no. 1 (January 1, 2020): 232596711989232. http://dx.doi.org/10.1177/2325967119892320.
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Background: Hip and groin injuries are common in competitive soccer players and have been shown to be significant sources of time loss. There are few studies describing the epidemiology of hip and groin injuries in female National Collegiate Athletic Association (NCAA) soccer players. Purpose: To describe the epidemiology of hip and groin injuries in women’s collegiate soccer players. Study Design: Descriptive epidemiology study. Methods: The NCAA Injury Surveillance System/Program (ISS/ISP) was analyzed from 2004 through 2014 for data related to hip and groin injuries in female collegiate soccer players. Injuries and athlete-exposures (AEs) were reported by athletic trainers. Data were stratified by time of season, event type, injury type, treatment outcome, time loss, and player field position. Results: Between 2004 and 2014, there were 439 recorded hip or groin injuries in female soccer players and an overall rate of injury of 0.57 per 1000 AEs. Injuries were 12.0 times more likely to occur during the preseason (4.41/1000 AEs) as opposed to during the regular season (0.37/1000 AEs) (injury rate ratio [IRR], 12.01; 95% confidence interval [CI], 9.92-14.55) or postseason (0.38/1000 AEs) (IRR, 11.55; 95% CI, 7.06-18.91). Rates of injury were similar during the regular season and postseason (IRR, 0.96; 95% CI, 0.59-1.58). Rates of injury were higher during competition (0.69/1000 AEs) than during practice (0.52/1000 AEs) (IRR, 1.33; 95% CI, 1.08-1.63). Most injuries were new (87.5%; n = 384) and unlikely to recur (12.5%; n = 55). Conclusion: Hip and groin injuries in female NCAA soccer players are uncommon, and fortunately, most players return to play quickly without recurrence. Future prospective studies should evaluate the effectiveness of strength and conditioning programs in preventing these injuries.
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Everhart, Joshua S., Sarah Poland, Sravya P. Vajapey, James C. Kirven, Thomas J. France, and W. Kelton Vasileff. "CrossFit-related hip and groin injuries: a case series." Journal of Hip Preservation Surgery 7, no. 1 (January 1, 2020): 109–15. http://dx.doi.org/10.1093/jhps/hnz072.
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Abstract To provide descriptive data on injury presentation and treatment and to identify risk factors for requiring surgical treatment for athletes presenting with CrossFit-related hip and groin injuries. CrossFit-related injuries (n = 982) were identified within a single hospital system from 2010 to 2017, with 83 (8.5% of total) identified hip or groin injuries. Patient demographics, injury diagnosis, surgical procedure and rehabilitation were assessed. Independent predictors of requiring surgery were analyzed via multivariate logistic regression analysis. Patients with hip or groin injuries were more often female (hip injuries: 63%; all injuries: 50%; P < 0.001) with mean age 34.3 years (standard deviation 10.9). Median symptom duration was 4 months with 70% reporting insidious onset. Most common diagnoses were femoral-acetabular impingement syndrome (34%), hamstring strain (11%), non-specific hip/groin pain (imaging non-diagnostic) (11%), hernia (7%) and iliotibial band syndrome (6%). Most (90%) required physical therapy (median 2 months). Surgery occurred in 24% (n = 12 hip arthroscopy, n = 5 inguinal hernia repair, n = 3 total hip arthroplasty), with 100% return to sport after arthroscopy or hernia repair. The only predictor of surgery was complaint of primarily anterior hip/groin pain (82% surgical patients, 46% non-surgical) (odds ratio 5.78, 95% confidence interval 1.44–23.1; P = 0.005); age, sex, body mass index, symptom duration and symptom onset (insidious versus acute) were non-significant (P > 0.25). CrossFit athletes with hip and groin injuries often present with prolonged symptoms with insidious onset. Most patients require several months of physical therapy and approximately one quarter require surgery. Patients presenting with primarily anterior hip/groin pain are at increased risk for requiring surgery. Level of Evidence IV, case series.
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Wörner, Tobias, Benjamin Clarsen, Kristian Thorborg, and Frida Eek. "Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function: A Single-Season Prospective Cohort Study." Orthopaedic Journal of Sports Medicine 7, no. 12 (December 1, 2019): 232596711989258. http://dx.doi.org/10.1177/2325967119892586.
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Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers. Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season. Study Design: Descriptive epidemiology study. Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into “all” and “substantial” hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O. Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems ( P < .01). Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.
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McSweeney, Sean E., Ali Naraghi, David Salonen, John Theodoropoulos, and Lawrence M. White. "Hip and Groin Pain in the Professional Athlete." Canadian Association of Radiologists Journal 63, no. 2 (May 2012): 87–99. http://dx.doi.org/10.1016/j.carj.2010.11.001.
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Hip and groin pain is a common condition in professional athletes and may result from an acute injury or from chronic, repetitive trauma. It is responsible for significant morbidity, which leads to time away from training and competition, and may result in a career-ending injury. The anatomic and biomechanical causes for hip and groin injuries are among the most complex and controversial in the musculoskeletal system. This makes clinical differentiation and subsequent management difficult because of the considerable overlap of symptoms and signs. This review article will evaluate several pathologic conditions of the hip and groin in athletes, divided into acute (secondary to single event) and chronic (secondary to altered biomechanical load or repetitive microtrauma) injuries, with an emphasis on imaging in the diagnosis of these injuries. Appropriate use of imaging along with clinical findings can allow accurate diagnosis and subsequent appropriate management of these patients to ultimately allow return to athletic activity.
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Kantrowitz, David Eric, David P. Trofa, Denzel R. Woode, Christopher S. Ahmad, and Thomas Sean Lynch. "Athletic Hip Injuries in Major League Baseball Pitchers Associated with UCL Pathology." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (July 2019): 2325967119S0030. http://dx.doi.org/10.1177/2325967119s00309.
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Objectives: Ulnar collateral ligament (UCL) reconstruction is a reliable treatment for elite overhand throwers with UCL pathology. In recent years, this operation has become increasingly common among Major League Baseball (MLB) pitchers. Predisposing factors and associated comorbidities, however, have not been well elucidated in the literature. The purpose of this investigation is to determine if professional baseball pitchers who underwent UCL reconstruction had an increased incidence of hip or groin injuries 4 years prior to or following their surgery. We hypothesized that MLB pitchers who sustained hip or groin injuries may have been more likely to develop UCL pathology due to kinetic chain alterations and overcompensation at the distal upper extremity during overhand throwing. Methods: This case controlled study utilized a comprehensive list of all 247 MLB players who underwent UCL reconstruction between 2005 and 2017, through aggregation of online publicly accessible data. Application of inclusion criteria yielded a final sample size of 145. These athletes’ injury histories were identified using systematic online searches and cross referenced with the official MLB disabled list. Age, playing time, and ERA-matched controls were generated for comparison of results. Results: Of the 145 MLB pitchers who underwent UCL reconstruction between 2005 and 2017, 40 (27.6%) endured a proximal lower extremity injury within 4 years of their surgery. Specifically, 16 pitchers sustained hip injuries, 13 suffered hamstring injuries, and 14 experienced groin injuries. A significantly lower rate of hip and groin related injuries, 18%, was identified in matched controls during a similar timeframe (p = 0.049). This represents an odds ratio of 1.74, indicating that players who underwent a UCL reconstruction were 74% more likely to have sustained a hip, groin or hamstring injury within an eight-year timeframe compared to matched controls. Hip injuries, specifically, were independently associated with UCL reconstruction compared to matched controls (p = 0.027). Conclusion: The results of this study demonstrate that MLB pitchers who required UCL reconstruction sustained a higher frequency of hip injuries both before and after surgery compared to matched controls. This association is significant as treatment of antecedent hip pathology, as well as emphasis on hip and core muscle mobility and strengthening, may help reduce the UCL injury burden in MLB pitchers.
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Mosler, Andrea B., Adam Weir, Andreas Serner, Rintje Agricola, Cristiano Eirale, Abdulaziz Farooq, Arnhild Bakken, et al. "Musculoskeletal Screening Tests and Bony Hip Morphology Cannot Identify Male Professional Soccer Players at Risk of Groin Injuries: A 2-Year Prospective Cohort Study." American Journal of Sports Medicine 46, no. 6 (March 27, 2018): 1294–305. http://dx.doi.org/10.1177/0363546518763373.
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Background: Musculoskeletal hip/groin screening tests are commonly performed to detect at-risk individuals. Bony hip morphology is considered a potential intrinsic risk factor but has not been examined prospectively. Purpose: To evaluate the association between intrinsic risk factors identified from musculoskeletal and radiographic screening tests and hip/groin injuries leading to time loss from training and/or match play in professional male soccer players. Study Design: Prospective cohort study; Level of evidence, 2. Methods: Male professional soccer players, aged ≥18 years, underwent screening specific for hip/groin pain during 2 consecutive seasons of the Qatar Stars League. The screening battery included pain provocation, range of motion, and strength tests as well as a hip radiographic examination. The radiographic examination included an anteroposterior pelvic view and 45° Dunn view, with bony hip morphology determined using quantitative methods. Time-loss (≥1 day) hip/groin injuries and individual player exposure (training and match play) were recorded prospectively, and injuries were categorized as adductor-related, inguinal-related, iliopsoas-related, pubic-related, or hip-related groin pain, or “other,” as recommended in the Doha agreement. We calculated hazard ratios (HRs) from univariate and multivariate Cox regression models to assess the relationship between potential risk factors and hip/groin injuries. Results: There were 438 players, completing 609 player seasons, and 113 hip/groin injuries that met the criteria for inclusion, with 85 injuries categorized as adductor-related. The proportion of players with bony morphological variants was the following: cam, 71%; pincer, 5%; and acetabular dysplasia, 13%. Previous hip/groin injuries (HR, 1.8; 95% CI, 1.2-2.7) and eccentric adduction strength were associated with the risk of hip/groin injuries. Higher (>1 SD above the mean) than normal eccentric adduction strength was associated with an increased risk for all hip/groin injuries (HR, 1.6; 95% CI, 1.0-2.5). Lower (<1 SD below the mean) than normal eccentric adduction strength was associated with an increased risk for adductor-related injuries (HR, 1.7; 95% CI, 1.0-3.0). No other musculoskeletal screening test or bony hip morphology variables were associated with the injury risk. Conclusion: Previous groin injuries and eccentric adduction strength were associated with the risk of groin injuries. However, these associations were not strong enough to identify an “at-risk” individual, and therefore, musculoskeletal screening tests were not useful to dictate individualized prevention strategies. Bony hip morphology was not associated with the risk of groin injuries.
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Tak, Igor, Leonie Engelaar, Vincent Gouttebarge, Maarten Barendrecht, Sylvia Van den Heuvel, Gino Kerkhoffs, Rob Langhout, Janine Stubbe, and Adam Weir. "Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications." British Journal of Sports Medicine 51, no. 22 (April 21, 2017): 1611–21. http://dx.doi.org/10.1136/bjsports-2016-096619.
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BackgroundWhether hip range of motion (ROM) is a risk factor for groin pain in athletes is not known.ObjectivesTo systematically review the relationship between hip ROM and groin pain in athletes in cross-sectional/case–control and prospective studies.Study designSystematic review, prospectively registered (PROSPERO) according to PRISMA guidelines.MethodsPubmed, Embase, CINAHL and SPORTDiscus were systematically searched up to December 2015. Two authors performed study selection, data extraction/analysis, quality assessment (Critical Appraisal Skills Programme) and strength of evidence synthesis.ResultsWe identified seven prospective and four case–control studies. The total quality score ranged from 29% to 92%. Heterogeneity in groin pain classification, injury definitions and physical assessment precluded data pooling. There was strong evidence that total rotation of both hips below 85° measured at the pre-season screening was a risk factor for groin pain development. Strong evidence suggested that internal rotation, abduction and extension were not associated with the risk or presence of groin pain.ConclusionTotal hip ROM is the factor most consistently related to groin pain in athletes. Screening for hip ROM is unlikely to correctly identify an athlete at risk of developing groin pain because of the small ROM differences found and poor ROM measurement properties.
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Fujisaki, Kazuki, Kiyokazu Akasaka, Takahiro Otsudo, Hiroshi Hattori, Yuki Hasebe, and Toby Hall. "Risk Factors for Groin Pain in Male High School Soccer Players Undergoing an Injury Prevention Program: A Cluster Randomized Controlled Trial." Trauma Care 2, no. 2 (May 1, 2022): 238–50. http://dx.doi.org/10.3390/traumacare2020020.
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Little is known about the risk factors for developing groin pain in high school soccer players. Therefore, the purpose of the study is to investigate the risk factors for developing inguinal pain in high school soccer players who are undergoing an injury prevention program. A cluster randomized controlled trial was conducted on 202 high school soccer players. Players were allocated to either group A (3 schools, 66 players) receiving the Copenhagen adduction exercise (CAE) alone, or group B (2 schools, 73 players) receiving the CAE and Nordic hamstrings exercise, or group C, the control group without any intervention (2 schools, 63 players). Hip range of motion (ROM) and strength measures were assessed prior to a groin injury prevention program and used in univariate and multivariate analysis to predict development of groin pain. Logistic regression analysis identified that hip abduction ROM and eccentric adductor strength of the dominant leg were factors in the development of groin pain. Increased abduction ROM and decreased eccentric adductor muscle strength of the dominant leg were risk factors for the development of groin pain.
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Thorborg, Kristian, Sonia Branci, Frederik Stensbirk, Jesper Jensen, and Per Hölmich. "Copenhagen hip and groin outcome score (HAGOS) in male soccer: reference values for hip and groin injury-free players." British Journal of Sports Medicine 48, no. 7 (July 12, 2013): 557–59. http://dx.doi.org/10.1136/bjsports-2013-092607.
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Thorborg, Kristian, and Per Hölmich. "Advancing hip and groin injury management: from eminence to evidence." British Journal of Sports Medicine 47, no. 10 (February 13, 2013): 602–5. http://dx.doi.org/10.1136/bjsports-2012-092090.
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Novais, Eduardo N., Mark F. Riederer, and Aaron J. Provance. "Anterior Inferior Iliac Spine Deformity as a Cause for Extra-articular Hip Impingement in Young Athletes After an Avulsion Fracture: A Case Report." Sports Health: A Multidisciplinary Approach 10, no. 3 (December 6, 2017): 272–76. http://dx.doi.org/10.1177/1941738117744547.
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Extra-articular hip impingement from prior traumatic injury to the anterior inferior iliac spine (AIIS) is an uncommon cause of groin pain in young athletes. Currently, the most common treatment for this injury is arthroscopic decompression. However, hip arthroscopy is not universally available and requires advanced skills. We report 2 cases of the development of extra-articular hip impingement from unusual bony exostoses off the AIIS after traumatic injury in 2 young athletes who underwent open surgical resection. The multidisciplinary sports medicine team should be aware of the development of extra-articular impingement from traumatic injury to the AIIS and that open surgical resection is a viable alternative to arthroscopic decompression.
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Brunner, Romana, Mario Bizzini, Karin Niedermann, and Nicola A. Maffiuletti. "Epidemiology of Traumatic and Overuse Injuries in Swiss Professional Male Ice Hockey Players." Orthopaedic Journal of Sports Medicine 8, no. 10 (October 1, 2020): 232596712096472. http://dx.doi.org/10.1177/2325967120964720.
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Background: Ice hockey injury patterns in Europe were last evaluated in the 1990s. Purpose: The aim of this study was to assess the frequency, type, location, and incidence of traumatic injuries, as well as the prevalence and relative effect of overuse injuries in professional male ice hockey players. Study Design: Descriptive epidemiology study. Methods: Traumatic injuries were assessed using a standardized injury report form over a 1-year period (including the preparatory phase and season). The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire was used to determine overall and substantial overuse injuries and their relative effect on ice hockey players. Results: Five Swiss National League teams participated in the study. From a total of 321 recorded injuries, 179 led to time loss from sport. The game-related time-loss injury incidence during the season was 88.6/1000 player-game hours.Time-loss injuries affected mainly the hip/groin/thigh region (23%), followed by the head (17%). Most time-loss injuries were classified as muscle strains (24%), followed by concussions (18%). The most common injury mechanism involved collision with an opponent’s body (31%), and right forward players (23%) were most likely to report a game-related injury. Most injuries (27%) occurred within the defending zone along the boards. The average prevalence rates of all overuse and substantial overuse injuries were 49% and 13%, respectively. The hip/groin displayed the highest average prevalence for all overuse problems (16%), translating to the highest relative effect. Conclusion: Muscle strains and concussions were the most frequent time-loss injuries in Swiss professional ice hockey players. The hip/groin was the most affected region for both traumatic and overuse injuries.
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Verrall, Geoffrey M., John P. Slavotinek, Peter G. Barnes, Adrian Esterman, Roger D. Oakeshott, and Anthony J. Spriggins. "Hip joint range of motion restriction precedes athletic chronic groin injury." Journal of Science and Medicine in Sport 10, no. 6 (December 2007): 463–66. http://dx.doi.org/10.1016/j.jsams.2006.11.006.
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Rodriguez, Robert. "Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic." Journal of Sport Rehabilitation 29, no. 1 (January 1, 2020): 116–21. http://dx.doi.org/10.1123/jsr.2018-0250.
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Clinical Scenario: Ice hockey and soccer are both dynamic sports that involve continuous, unpredictable play. These athletes consistently demonstrate higher rates of groin strains compared with other contact sports. Measuring the hip adductor/abductor ratio has the potential to expose at-risk players, reduce injury rates, and preserve groin health in players with chronic strains. Focused Clinical Question: What is the clinical utility of measuring the hip adductor/abductor ratio for preseason and in-season ice hockey and soccer players? Summary of Key Findings: Three studies, all of which were prospective cohort designs, were included. One study involved assessing preseason strength and flexibility as a risk factor for adductor strains in professional ice hockey players. Another study performed with the same professional hockey team used preseason hip adductor/abductor strength ratios to screen for those players who would benefit from a strengthening intervention aimed at reducing the incidence of adductor strains. The final study, which was performed in elite U17 soccer players, assessed the effectiveness of monthly in-season strength monitoring as a guide to trigger in-season interventions to decrease injury incidence. Clinical Bottom Line: Measuring the hip adductor/abductor strength ratio in hockey and soccer players can be a beneficial preseason and in-season tool to predict future groin strain risk and screen for athletes who might benefit from a strengthening intervention. Strength of Recommendation: Level 3 evidence exists to support monitoring the hip adductor/abductor strength ratio to assess and reduce the risk of adductor strains in ice hockey and soccer players.
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Tyler, Timothy F., Holly J. Silvers, Michael B. Gerhardt, and Stephen J. Nicholas. "Groin Injuries in Sports Medicine." Sports Health: A Multidisciplinary Approach 2, no. 3 (April 29, 2010): 231–36. http://dx.doi.org/10.1177/1941738110366820.
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Context: An in-season groin injury may be debilitating for the athlete. Proper diagnosis and identification of the pathology are paramount in providing appropriate intervention. Furthermore, an adductor strain that is treated improperly can become chronic and career threatening. Any one of the 6 muscles of the adductor muscle group can be involved. The degree of injury can range from a minor strain (grade 1), where minimal playing time is lost, to a severe strain (grade 3), in which there is complete loss of muscle function. Persistent groin pain and muscle imbalance may lead to athletic pubalgia. Evidence Acquisition: Relevant studies were identified through a literature search of MEDLINE and the Cochrane database from 1990 to 2009, as well as a manual review of reference lists of identified sources. Results: Ice hockey and soccer players seem particularly susceptible to adductor muscle strains. In professional ice hockey and soccer players throughout the world, approximately 10% to 11% of all injuries are groin strains. These injuries have been linked to hip muscle weakness, a previous injury to that area, preseason practice sessions, and level of experience. This injury may be prevented if these risk factors are addressed before each season. Conclusion: Despite the identification of risk factors and strengthening intervention for athletes, adductor strains continue to occur throughout sport. If groin pain persists, the possibility of athletic pubalgia needs to be explored, because of weakening or tears in the abdominal wall muscles. A diagnosis is confirmed by exclusion of other pathology.
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Tjukov, Olga, Tobias Engeroff, Lutz Vogt, Winfried Banzer, and Daniel Niederer. "Injury Profile of Hip-Hop Dancers." Journal of Dance Medicine & Science 24, no. 2 (June 15, 2020): 66–72. http://dx.doi.org/10.12678/1089-313x.24.2.66.
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This study assessed the injury incidence, mechanisms, and associated potential risk factors for hip-hop, popping, locking, house, and breaking dance styles. Data were collected from June to November 2015. The retrospective cohort study included 146 dancers (female: N = 67; age = 20 ± 4.2 years; males: N = 79; age = 22.9 ± 5.8 years) who completed a questionnaire that collected data concerning training hours, injuries, self-reported injury causes, treatment, and recovery time over the last 5 years. For the last 5 years, 52% (N = 76) of the dancers reported 159 injuries and, in the year prior to the survey, 31.5% (N = 46) reported a total of 75 injuries. Overall, 0.61 injuries (5 years) and 1.156 injuries (1 year) per 1,000 hours exposure time occurred. For breaking, 1.286 injuries (5 years) and 2.456 injuries (1 year) per 1,000 hours exposure time were calculated, while the other dance styles accumulatively reached 0.151 injuries (5 years) and 0.318 injuries (1 year) per 1,000 hours of exposure time. Breakers reported most injuries at the upper extremities, followed by the lower extremities, trunk, and head and neck region. Most injuries in hip-hop occurred at the lower extremities, mainly affecting the knees, followed by groin and ankle. Injuries experienced by popping and locking dancers only involved the lower extremities. In house, the lower extremities were affected most frequently, followed by the trunk. A total of 65.3% of the dancers experienced time loss, with a duration of 12.7 ± 21.3 weeks. Breakers experience significantly more injuries than dancers of the other styles. Injury risk among dancers of all the styles studied can be considered low compared to soccer players, swimmers, and long-distance runners.
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Kekelekis, Afxentios, Zoe Kounali, Nikolaos Kofotolis, Filipe Manuel Clemente, and Eleftherios Kellis. "Epidemiology of Injuries in Amateur Male Soccer Players: A Prospective One-Year Study." Healthcare 11, no. 3 (January 25, 2023): 352. http://dx.doi.org/10.3390/healthcare11030352.
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The purpose of this study was to prospectively monitor and analyze injuries in Greek amateur male soccer players over one competitive season. One hundred and thirty male soccer players in a regional amateur league participated in this study. Injury data and exposure were collected from six teams during training and competition match over one season (2018/19). Injuries were collected weekly and were classified by setting, mechanism, severity, type, calendar distribution, period of injury occurrence, and anatomical location. A total of 103 injuries were recorded during the season, with an incident rate (IR) of 5.5 injuries/1000 h with 95% confidence intervals (CI) values of 4.45 (lower limit) and 6.09 (upper limit). Furthermore, IR was greater for the posterior thigh (IR 1.83/1000 h, 95% CI 1.21–2.44) and hip/groin complex (IR 1.45/1000 h, 95% CI 0.90–1.99) compared to other anatomical locations. Similarly, muscle injuries had greater IR (IR 3.61/1000 h, 95% CI 2.74–4.47) than other tissues. Amateur soccer players had a seven-fold greater chance of getting injured during games (IR 20.76/1000 h, 95% CI 15.28–26.24) rather than during training (IR 3.077/1000 h, 95% CI 2.16–3.80), while injury rates were higher towards the end of a session and peaked in October and February of the season. Based on these results, amateur soccer may benefit from injury prevention strategies incorporated into their regular training practice and focus on muscle injuries, especially in the posterior thigh and the hip/groin complex.
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Li, Xinning, Hanbing Zhou, Phillip Williams, John J. Steele, Joseph Nguyen, Marcus Jäger, and Struan Coleman. "The epidemiology of single season musculoskeletal injuries in professional baseball." Orthopedic Reviews 5, no. 1 (February 22, 2013): 3. http://dx.doi.org/10.4081/or.2013.e3.
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The aim of this descriptive epidemiology study was to evaluate the injury incidence, pattern and type as a function of position in one professional baseball organization for one complete season. The study was carried out in a major academic center. Participants were all major/minor league baseball players playing for one professional organization. The disabled/injury list of one single professional baseball organization (major and minor league players) was reviewed for all of the injuries and the number of total days missed secondary to each injury. All injuries were categorized into major anatomic zones that included: shoulder, elbow, wrist/hand, back, abdomen/groin, hip, knee, and ankle/foot. The data was further stratified based on the injury type and the number of days missed due to that particular injury and a statistical analysis was performed. In pitchers, elbow injuries (n=12) resulted in 466 days missed. In catchers, wrist injuries (n=4) resulted in 89 days missed. In position players, abdominal/groin injuries (n=16) resulted in 318 days missed and shoulder injuries (n=9) resulted in 527 days missed. Overall, 134 players were injured and a total of 3209 days were missed. Pitchers had 27 times and 34 times the rate of days missed due to elbow injuries compared to position players and all players, respectively. Abdominal and groin injuries caused the pitchers to have 5.6 times and 6.4 times the rate of days missed than the position and all players, respectively. Both elbow and abdominal/groin injuries are the most disabling injury pattern seen in pitchers. Among the position players, shoulder injuries resulted in the most days missed and knee injuries resulted in the highest rate of days missed in both pitchers and catchers.
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Langhout, Rob, Adam Weir, Wendy Litjes, Maarten Gozeling, Janine H. Stubbe, Gino Kerkhoffs, and Igor Tak. "Hip and groin injury is the most common non-time-loss injury in female amateur football." Knee Surgery, Sports Traumatology, Arthroscopy 27, no. 10 (June 2, 2018): 3133–41. http://dx.doi.org/10.1007/s00167-018-4996-1.
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Welton, K. Linnea, Tigran Garabekyan, Matthew J. Kraeutler, Laura A. Vogel-Abernathie, Daniel Raible, Jesse A. Goodrich, and Omer Mei-Dan. "Effects of Hip Arthroscopy Without a Perineal Post on Venous Blood Flow, Muscle Damage, Peripheral Nerve Conduction, and Perineal Injury: A Prospective Study." American Journal of Sports Medicine 47, no. 8 (May 24, 2019): 1931–38. http://dx.doi.org/10.1177/0363546519849663.
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Background: Prior reports of hip arthroscopy using a perineal post have established the risks of groin soft tissue injury, sexual dysfunction, and altered lower extremity neurovascular function. These parameters have not been investigated for hip arthroscopy without the use of a perineal post. Purpose: To evaluate the effects of postless hip arthroscopy on lower extremity venous blood flow, nerve conduction, muscle tissue damage, and perineal injury. Study Design: Case series; Level of evidence, 4. Methods: Patients between the ages of 18 and 50 years undergoing an elective unilateral or simultaneous bilateral hip arthroscopy were enrolled. Creatine phosphokinase (CPK)–MM levels and D-dimer levels were obtained preoperatively, immediately postoperatively, and 7 to 12 days postoperatively. Bilateral Doppler ultrasonography of the common femoral vein (CFV) and popliteal vein were conducted intraoperatively. Somatosensory evoked potentials (SSEPs) and transcranial motor evoked potentials (TcMEPs) were measured intraoperatively for the lower limbs. Perineal injury was assessed at 7 to 12 days postoperatively. Results: 35 patients underwent a total of 40 hip arthroscopies. No significant differences were found in venous blood flow between the operative and nonoperative legs for either the CFV or popliteal vein. SSEP monitoring of the peroneal nerve showed no significant reduction when traction was applied to the operative leg, 90.8%, compared with final measurement just before it was removed, 72.4% ( P = .09). For TcMEPs measured in the muscles outside of the traction boots, no significant changes were seen in the percentage of cases with abnormal measurements throughout the procedure. CPK-MM levels preoperatively, immediately postoperatively, and 7 to 12 days after surgery were on average 112, 190, and 102 IU/L, respectively (normal, <156 IU/L). No significant relationship was found between abnormal venous flow and altered D-dimer levels. No clinical evidence of nerve or vascular injury was encountered, and no groin soft tissue complications were observed during the study period. Conclusion: Postless hip arthroscopy is safe, without a notable reduction of venous blood flow or alteration of nerve function in the operative leg. Muscle tissue damage is subclinical, transient, and reduced compared with distraction with a post. No cases of perineal injury were observed during the study period.
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Griffin, Victoria C., Tony Everett, and Ian G. Horsley. "A comparison of hip adduction to abduction strength ratios, in the dominant and non-dominant limb, of elite academy football players." Journal of Biomedical Engineering and Informatics 2, no. 1 (October 28, 2015): 109. http://dx.doi.org/10.5430/jbei.v2n1p109.
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Context: Hip adduction and abduction strength plays an important role in the treatment and prevention of groin injuries in football players. Currently there are no reliable baseline values for uninjured football player’s hip adduction: abduction muscle strength ratios. Objective: To examine whether normal hip adduction: abduction strength ratios can be established in uninjured football players. To compare this data, and establish if there is an asymmetry between the dominant and non-dominant limb. Methods: Twenty, English Premier League academy football players 18.45 (± 2.06) years, 72.6 (± 5.56) kg, 180.15 (± 7.97) cm, 3 left limb dominant, and 17 right limb dominant were included in the study. Eccentric and concentric hip adduction and abduction strength of the dominant and non-dominant leg was tested using a Cybex isokinetic dynamometer. Results: The concentric ratio on the dominant limb was 1.59 (± 0.19) and on the non-dominant limb 1.45 (± 0.31). The eccentric ratio on the dominant limb was 1.45 (± 0.32) and on the non-dominant limb 1.26 (± 0.26). Overall the ratios were higher on the dominant limb and this was statistically significant P ≤ .05. Abduction strength was similar bilaterally. Adduction strength was 18%-22% greater on the dominant limb. Conclusions: The greater ratios on the dominant limb are due to increased adductor strength as a result of the kicking action. Elite football player’s hip adduction: abduction strength ratios should be 1.45-1.6 on the dominant limb and 1.25-1.45 on the non-dominant limb. The adductors on the dominant limb should be 18%-22% stronger than the non-dominant limb. Ratios outside these parameters could indicate the player is at risk of injury. Further research is required to support muscle imbalance as a cause of injury and identify injury risk thresholds for groin injuries in football players.
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Rana, Nipun, Gajanand Dhaked, Satish Sharma, and Sandeep Tripathi. "Unusual Presentation of Pseudoaneurysm with Trochanteric Fracture Femur with Associated Long-Term Antiepileptic Therapy." Case Reports in Orthopedics 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/896968.
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Arterial injury following impalement due to a trochanteric hip fracture-fragment per se has been documented rarely. We report a case of pseudoaneurysm of profunda femoris artery at the first perforator branch in a 48-year-old male, with trochanteric hip fracture following a fall during an epileptic episode. Persistent recalcitrant pain, globular swelling in the groin, unexplained drop in the haemoglobin level, and color doppler ultrasonography findings were salient features to the diagnosis. Additionally, we collected all reported cases of pseudoaneurysm associated with hip fractures. We reviewed the literature regarding the incidence, treatment, and prognosis for the same. Acute vascular injury was probably caused by the spikes of fractured lesser trochanter which was found to be displaced superomedially. All trochanteric fractures especially those with displaced lesser trochanter fragment should be closely watched for the possibility of vascular injury. Early diagnosis and treatment in a staged manner can prevent the catastrophic vascular event and hence the limb.
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Loosli, Alvin R., and June Quick. "Thigh Strains in Competitive Breaststroke Swimmers." Journal of Sport Rehabilitation 1, no. 1 (February 1992): 49–55. http://dx.doi.org/10.1123/jsr.1.1.49.
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Although shoulder and knee injuries are the most common injuries in swimmers, thigh/groin strains have recently been identified as a critical area in elite competitive breaststroke swimmers. A survey of high-level collegiate breaststroke swimmers revealed a 33% incidence of this hip flexor adductor injury. A comprehensive treatment and prevention program is detailed in this paper.
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Harøy, Joar, Benjamin Clarsen, Espen Guldahl Wiger, Mari Glomnes Øyen, Andreas Serner, Kristian Thorborg, Per Hölmich, Thor Einar Andersen, and Roald Bahr. "The Adductor Strengthening Programme prevents groin problems among male football players: a cluster-randomised controlled trial." British Journal of Sports Medicine 53, no. 3 (June 10, 2018): 150–57. http://dx.doi.org/10.1136/bjsports-2017-098937.
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BackgroundGroin injuries represent a considerable problem in male football. Previous groin-specific prevention programmes have not shown a significant reduction in groin injury rates. An exercise programme using the Copenhagen Adduction exercise increases hip adduction strength, a key risk factor for groin injuries. However, its preventive effect is yet to be tested.AimTo evaluate the effect of a single-exercise approach, based on the Copenhagen Adduction exercise, on the prevalence of groin problems in male football players.Methods35 semiprofessional Norwegian football teams were cluster-randomised into an intervention group (18 teams, 339 players) and a control group (17 teams, 313 players). The intervention group performed an Adductor Strengthening Programme using one exercise, with three progression levels, three times per week during the preseason (6–8 weeks), and once per week during the competitive season (28 weeks). The control group were instructed to train as normal. The prevalence of groin problems was measured weekly in both groups during the competitive season using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire.ResultsThe average prevalence of groin problems during the season was 13.5% (95% CI 12.3% to 14.7%) in the intervention group and 21.3% (95% CI 20.0% to 22.6%) in the control group. The risk of reporting groin problems was 41% lower in the intervention group (OR 0.59, 95% CI 0.40 to 0.86, p=0.008).ConclusionThe simple Adductor Strengthening Programme substantially reduced the self-reported prevalence and risk of groin problems in male football players.Trial registration numberISRCTN98514933.
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Rhim, Hye Chang, Ashley E. Gureck, and Ki-Mo Jang. "Acute Obturator Externus Injury in Professional Soccer Players: A Case Series." Medicina 58, no. 9 (August 23, 2022): 1145. http://dx.doi.org/10.3390/medicina58091145.
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When patients present with hip or groin pain, proximal quadriceps or adductor injuries are often initially suspected. In this case report, however, we present three cases of professional soccer players who were found to have obturator externus injury. A 30-year-old player and a 24-year-old player complained of pain in the left side after long distance shooting during an in-season training session and a match, respectively. Another 24-year-old player complained of pain in the right side after long distance passing during a preseason training session. On physical examination, active hip external rotation and passive hip internal rotation and extension elicited pain in all three players. All three players underwent magnetic resonance imaging (MRI) which found obturator externus grade II injuries for two players and grade I injury for one player. Rehabilitation protocols included relative rest, cryotherapy, and electrotherapy over a period of one week. All patients were able to return to play after 10 days. Correct identification of obturator externus injury afforded our players a favorable prognosis and a relatively quick return-to-sport compared with quadricep or adductor injury.
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Feeley, Brian T., John W. Powell, Mark S. Muller, Ronnie P. Barnes, Russell F. Warren, and Bryan T. Kelly. "Hip Injuries and Labral Tears in the National Football League." American Journal of Sports Medicine 36, no. 11 (July 18, 2008): 2187–95. http://dx.doi.org/10.1177/0363546508319898.
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Background Injuries to the hip account for approximately 10% of all injuries in football, but definitive diagnosis is often challenging. Although these injuries are often uncomplicated contusions or strains, intra-articular lesions are increasingly found to be sources of hip pain. Purpose The objective was to define the incidence and etiologic factors of intra- and extra-articular hip injuries in the National Football League (NFL). Study Design Descriptive epidemiology study. Methods The NFL Injury Surveillance System was used to define all hip-related injuries from 1997 to 2006. Injuries were included if the athlete missed more than 2 days. All hip and groin injuries were included for evaluation. The authors also report on NFL players with intra-articular injuries seen at their institution outside of the NFL Injury Surveillance System. Results There were a total of 23 806 injuries from 1997 to 2006, of which 738 were hip injuries (3.1 %) with an average of 12.3 days lost per injury. Muscle strains were the most common injury. Intra-articular injuries resulted in the most time lost. Contact injuries most likely resulted in a contusion, and noncontact injuries most often resulted in a muscle strain. In the authors’ institutional experience, many of the athletes with labral tears have persistent adductor strains that do not improve despite adequate therapy. Conclusion Hip injuries represent a small but substantial percentage of injuries that occur in the NFL. A majority of these injuries are minor, with a return to play within 2 weeks. Intra-articular injuries are more serious and result in a significant loss of playing time. The “sports hip triad” (labral tear, adductor strain, and rectus strain) is described as a common injury pattern in the elite athlete.
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Egger, Anthony C., Anas Minkara, Richard Parker, and James Rosneck. "Intra-articular Hip Injuries in National Basketball Association Players: A Descriptive Epidemiological Study." Orthopaedic Journal of Sports Medicine 10, no. 9 (September 1, 2022): 232596712211227. http://dx.doi.org/10.1177/23259671221122744.
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Background: Since the most recent epidemiologic study of injuries in National Basketball Association (NBA) players was completed in 2012, the understanding and diagnosis of intra-articular hip injury has advanced. Purpose: To report the epidemiology of intra- versus extra-articular hip injuries in NBA players with regard to missed games, risk factors for injury, and treatment types. Study Design: Cohort study; Level of evidence, 3. Methods: The NBA injury database was queried for all reported hip and groin injuries from 2013 to 2017. The injuries were then divided into intra-articular and extra-articular types. Variables compared between injury types included player age, NBA tenure, season schedule (preseason or offseason), onset type, injury mechanism, roster position, games missed, time to return to play, and need for surgery. Results: A total of 224 athletes sustaining 353 total hip pathologies were identified. Of these injuries, 216 (61.2%) were sustained during game competition and affected 156 (69.6%) of the athletes. Intra-articular injuries represented 39 (11.0%) cases and involved 36 (16.1%) players. The time to return to play was significantly longer after intra-articular versus extra-articular injury (44.6 ± 96.0 vs 11.8 ± 32.0 days; P = .03), and the number of games missed was significantly greater after intra-articular versus extra-articular injury (8.0 ± 18.7 vs 1.54 ± 4.9 games; P = .03). Patients with intra-articular hip injuries were more likely to undergo surgery (odds ratio, 5.5 [95% CI, 1.8-16.7]; P = .005). There was no statistically significant difference in the number of games missed due to surgery (35.2 ± 8.3 [intra-articular] vs 35.4 ± 11.6 [extra-articular]; P = .42) or nonoperative treatment (4.2 ± 3.4 [intra-articular] vs 1.3 ± 0.5 [extra-articular]; P = .11). Years of NBA tenure were not significantly different between intra-articular and extra-articular injuries (7.1 ± 3.7 vs 6.3 ± 4.0 years). For both types of hip injury, there was no correlation between player age and either days to return to play or number of games missed ( R 2 = 0.014). Conclusion: NBA players with intra-articular hip injuries underwent surgery more frequently and had a longer return-to-play time compared with those with extra-articular hip injuries. NBA tenure and player age were not correlated with the risk of developing hip injury or the need for surgery.
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Wörner, Tobias, Ryan J. Frayne, Thomas Magnusson, and Frida Eek. "The Perceived Demands of Ice Hockey Goaltending Movements on the Hip and Groin Region: An Elite Coach and Player Perspective." Orthopaedic Journal of Sports Medicine 9, no. 11 (November 1, 2021): 232596712110556. http://dx.doi.org/10.1177/23259671211055699.
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Background: Many ice hockey goaltending techniques force hip joints and groin muscles into extreme ranges of motion, which may increase the risk of hip and groin problems. Purpose: To explore how elite goaltenders and goaltending coaches perceive the demands of common goaltending techniques on the hip and groin region. We further explored differences in perception between goaltenders and their coaches as well as between junior (age <20 years) and senior (age ≥20 years) goaltenders. Study Design: Cross-sectional survey. Methods: We developed a model to categorize common ice hockey goaltending techniques into quantifiable units and invited elite goaltenders and coaches in Sweden to complete an online survey. Participants were asked to rate the perceived demands of each technique on the hip and groin using a Likert scale (not at all, slightly, somewhat, very, or extremely demanding). Using the chi-square test, the proportion of participants perceiving each technique as very or extremely demanding were compared between goaltenders and coaches as well as between senior and junior goaltenders. Results: We received responses from 132 goaltenders and 43 coaches. The stances most frequently perceived as very or extremely demanding were the reverse vertical horizontal post-play (40%) and the butterfly save (25%). Among transitions, movements into the post were most frequently rated as very or extremely demanding (11%–40%). Several techniques were perceived as demanding by a larger share of coaches than goaltenders (difference, 13%–46%; P < .001–.028) and a larger share of senior versus junior goaltenders (difference, 12%–20%; P = .13–.18). Conclusion: The post-play and the butterfly were the goaltending techniques most frequently perceived as demanding, and more coaches than goaltenders percieved these techniques demanding. The results of this study may inform injury prevention efforts for ice hockey goaltending.
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Molfetta, L., D. Chiapale, D. Caldo, and F. Leonardi. "False Aneurysm of the Superficial Femoral Artery after Total Hip Arthroplasty: A Case Report." HIP International 17, no. 4 (October 2007): 234–36. http://dx.doi.org/10.1177/112070000701700408.
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Vascular lesions in hip prosthetic replacement are rare events; it is mandatory to be aware of the risk, though, in order of the vascular bundle's proximity to the surgical field. A 74-year-old patient was admitted to our department for primary hip arthroplasty for osteoarthritis. The patient was healthy but had mild hypertension. A cemented total hip prosthesis was implanted. The patient complained of growing groin pain and swelling from the third postoperative day. The suspicion of a vascular injury arose with worsening pain and low haemoglobin at blood tests. Then ultrasonography scans and digital angiography were performed, showing a superficial femoral artery pseudo-aneurysm. The patient had further surgery to repair the lesion. In the described case, the pseudo-aneurysm might have been caused by the pulling of a Hohmann retractor on arterial vessels possibly affected by atherosclerosis. The final output was favourable, but the authors point out that knowledge of neurovascular anatomy is necessary as well as postoperative surveillance of the clinical presentation of the patient if groin pain or swelling should arise. In the case of suspicion of vascular lesions, ultrasound and angiography will allow diagnosis and confirm the indication for surgical repair.
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Tak, Igor J. R. "Hip and groin pain in athletes: morphology, function and injury from a clinical perspective." British Journal of Sports Medicine 52, no. 16 (January 25, 2018): 1024–25. http://dx.doi.org/10.1136/bjsports-2017-098618.
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Orchard, John W., Mohammad Chaker Jomaa, Jessica J. Orchard, Katherine Rae, Daniel Tyler Hoffman, Tom Reddin, and Tim Driscoll. "Fifteen-week window for recurrent muscle strains in football: a prospective cohort of 3600 muscle strains over 23 years in professional Australian rules football." British Journal of Sports Medicine 54, no. 18 (February 5, 2020): 1103–7. http://dx.doi.org/10.1136/bjsports-2019-100755.
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ObjectivesTo determine the rates of muscle strain injury recurrence over time after return to play in Australian football and to quantify risk factors.MethodsWe analysed Australian Football League player data from 1992 to 2014 for rates of the four major muscle strain injury types (hamstring, quadriceps, calf and groin) diagnosed by team health professionals. Covariates for analysis were: recent history (≤8 weeks) of each of the four muscle strains; non-recent history (>8 weeks) of each; history of hip, knee anterior cruciate ligament, knee cartilage, ankle sprain, concussion or lumbar injury; age; indigenous race; match level and whether a substitute rule was in place.Results3647 (1932 hamstring, 418 quadriceps, 458 calf and 839 groin) muscle strain injuries occurred in 272 759 player matches. For all muscle strains combined, the risk of injury recurrence gradually reduced, with recurrence risks of 9% (hamstring), 5% (quadriceps), 2% (calf) and 6% (groin) in the first match back and remaining elevated for 15 weeks after return to play. The strongest risk factor for each muscle injury type was a recent history of the same injury (hamstring: adjusted OR 13.1, 95% CI 11.5 to 14.9; calf OR 13.3, 95% CI 9.6 to 18.4; quadriceps: OR 25.2, 95% CI 18.8 to 33.8; groin OR 20.6, 95% CI 17.0 to 25.0), followed by non-recent history of the same injury (hamstring: adjusted OR 3.5, 95% CI 3.2 to 3.9; calf OR 4.4, 95% CI 3.6 to 5.4; quadriceps OR 5.2, 95% CI 4.2 to 6.4; groin OR 3.5, 95% CI 3.0 to 4.0). Age was an independent risk factor for calf muscle strains (adjusted OR 1.6, 95% CI 1.3 to 2.0). Recent hamstring injury increased the risk of subsequent quadriceps (adjusted OR 1.8, 95% CI 1.2 to 2.7) and calf strains (OR 1.8, 95% CI 1.2 to 2.6). During the ‘substitute rule’ era (2011–2014), hamstring (adjusted OR 0.76, 95% CI 0.67 to 0.86), groin (OR 0.78, 95% CI 0.65 to 0.93) and quadriceps (OR 0.70, 95% CI 0.53 to 0.92) strains were less likely than outside of that era but calf (OR 1.6, 95% CI 1.3 to 1.9) strains were more likely than before the substitute rule era.ConclusionRecent injury is the greatest risk factor for the four major muscle strains, with increased risk persisting for 15 weeks after return to play.
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Verrall, GM, IA Hamilton, JP Slavotinek, RD Oakeshott, AJ Spriggins, PG Barnes, and GT Fon. "Hip joint range of motion reduction in sports-related chronic groin injury diagnosed as pubic bone stress injury." Journal of Science and Medicine in Sport 8, no. 1 (March 2005): 77–84. http://dx.doi.org/10.1016/s1440-2440(05)80027-1.
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Morrissey, Dylan, Jennifer Graham, Hazel Screen, Amit Sinha, Claire Small, Richard Twycross-Lewis, and Roger Woledge. "Coronal plane hip muscle activation in football code athletes with chronic adductor groin strain injury during standing hip flexion." Manual Therapy 17, no. 2 (April 2012): 145–49. http://dx.doi.org/10.1016/j.math.2011.12.003.
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Bombaci, Hasan, Ozgur Erdogan, and Ozan Tanyu. "The Groin Pain in the Gymnasts and its Possible Reasons." Orthopaedic Journal of Sports Medicine 2, no. 11_suppl3 (November 1, 2014): 2325967114S0019. http://dx.doi.org/10.1177/2325967114s00195.
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Objectives: The overuse injury in gymnasts due to overstretching of the joints is quite frequent. One of the most frequent complaints due to overuse injuries is pain on the insertion region of rectus femoris at the iliac apophysis. In the present study the possible reasons of the groin pain in the gymnasts were evaluated. Methods: Twenty-two amateur athletes from the gymnastic club aged between 8-12 years, were included in this study. Twenty were female and two male, Athletes have been training for 2-4 hours in 5-6 days a week, for 3 to 10 years, performing floor exercises (17 rhytmic gymnasts and five artistic gymnasts,). Gymnasts, who have groin pain and the ones have not, were evaluated according to the ligament laxity, the range of internal and external rotation of the hip joint and gymnastic discipline, which has been performed. The results were compared with Fisher’s Exact test and unpaired t-test. Results: Athletes, who have groin pain complaint and have not, were compared according to the age, the distance between thumb-forearm, hyperextension range in the elbow and the sum of internal and external rotation angle of the hips. Furthermore, the athletes, whose external rotation is more than internal rotation, were compared with the ones whose internal rotation is more than external rotation, to evaluate anteversion angle of the hip clinically. The difference was not statistically significant (p>0.05). On the other hand, while 7 of the 17 gymnast, who perform rhythmic gymnastics, had groin pain and none of the 5 athletes, who perform artistry gymnastic, has groin pain. Conclusion: Overuse injuries are more common in the gymnastic sport. Repetitive microtrauma with thwarted repair might cause persistent injury in the tendon-bone junction. The anatomic factors (i.e malalignement) and overtraining predispose the athletes to overuse injuries most frequently. During adolescent growth spurt while the growth of long bones proceeds, the rectus femoris muscle, that cross more than one joint, might not gain flexibility enough and leads to excessive tensile stress on the iliac apophysis. Also, the gymnasts with generalized ligamentous laxity are more prone to the overuse injuries. Because lax ligaments fail to provide ligament stability and under further stress on the tissues neighbourhood of joint might cause overuse injuries. However, we were not able to find any difference between the athletes, who have groin pain and the ones have not, from the age, ligament laxity and hip rotation angles points of view. On the other hand, the high prevalence of groin pain complaint in the athletes, who perform rhythm gymnastic, might be related to the discipline specific exercises. So, the overuse injuries might be prevented by the well-planned training program in each particular discipline including strengthening and balance.
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Nakano, Naoki, Laughter Lisenda, and Vikas Khanduja. "Arthroscopic excision of heterotopic ossification in the rectus femoris muscle causing extra-articular anterior hip impingement." SICOT-J 4 (2018): 41. http://dx.doi.org/10.1051/sicotj/2018036.
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Subspine impingement is an extra-articular hip impingement syndrome that usually occurs when there is abnormal contact between an enlarged or malorientated anterior inferior iliac spine (AIIS) and the distal anterior femoral neck in straight flexion of the hip. We present the case of a 13-year-old boy with a history of left groin pain and loss of range of movement of the hip for over six months following an avulsion fracture of the AIIS during a game of rugby. He was diagnosed with subspine impingement secondary to a large lesion of heterotopic ossification in the rectus femoris; this was dissected and extracted from the muscle in toto arthroscopically. This case highlights the importance of heterotopic ossification after injury as an important cause for subspine impingement in the young adult hip. This is the first report and describes subspine impingement secondary to a large lesion of heterotopic ossification.
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Delahunt, Eamonn, Barry L. McEntee, Colm Kennelly, Brian S. Green, and Garrett F. Coughlan. "Intrarater Reliability of the Adductor Squeeze Test in Gaelic Games Athletes." Journal of Athletic Training 46, no. 3 (May 1, 2011): 241–45. http://dx.doi.org/10.4085/1062-6050-46.3.241.
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Context: Groin pain is commonly experienced by athletes involved in field-based sports and is particularly prevalent in Gaelic Games athletes. The adductor squeeze test is commonly used in the assessment of groin pain and injuries. To date, no evidence in the literature provides the reliability of the adductor squeeze test using a sphygmomanometer in assessing the adductor muscle integrity of Gaelic Games athletes. Given the high proportion of groin pain encountered in Gaelic Games athletes, establishing the reliability of the adductor squeeze test will allow clinicians to monitor injury responses and to assess return-to-play criteria. Objective: To evaluate the intrarater reliability of a commercially available sphygmomanometer for measuring adductor squeeze values in Gaelic Games athletes and to determine if different squeeze values are associated with the 3 commonly used test positions. Design: Descriptive laboratory study. Setting: University clinical skills laboratory. Patients or Other Participants: Eighteen male Gaelic Games athletes without any previous or current history of groin or pelvic pain. Intervention(s): Each participant performed the adductor squeeze test in 3 positions of hip joint flexion (0°, 45°, and 90°) on 2 test days separated by at least 1 week. Main Outcome Measure(s): Adductor squeeze test values (mm Hg) quantified by a commercially available sphygmomanometer. Results: Intrarater reliability intraclass correlation values ranged from 0.89 to 0.92 (intraclass correlation coefficients were 0°, 0.89; 45°, 0.92; and 90°, 0.90). The highest squeeze values were recorded in the 45° of hip flexion test position, and these values differed from those demonstrated in the 0° and 90° hip flexion test positions (P < .05). Conclusions: A commercially available sphygmomanometer is a reliable device for measuring adductor squeeze test values.
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Light, Neil, Neal Smith, Eamonn Delahunt, and Kristian Thorborg. "Hip and groin injury management in English youth football: a survey of 64 professional academies." Science and Medicine in Football 2, no. 2 (February 23, 2018): 133–40. http://dx.doi.org/10.1080/24733938.2018.1441536.
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Bourne, Matthew Noel, Morgan Williams, Ryan Timmins, and Tania Pizzari. "Pre-season Hip/groin Strength Is Associated With Subsequent Injury In Professional Male Soccer Players." Medicine & Science in Sports & Exercise 52, no. 7S (July 2020): 671. http://dx.doi.org/10.1249/01.mss.0000682468.17632.da.
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Sawle, Leanne, Jennifer Freeman, and Jonathan Marsden. "The Use of a Dynamic Elastomeric Fabric Orthosis in Supporting the Management of Athletic Pelvic and Groin Injury." Journal of Sport Rehabilitation 25, no. 2 (May 2016): 101–10. http://dx.doi.org/10.1123/jsr.2014-0266.
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Context:Athletic pelvic and groin injuries are a common yet challenging problem. Pelvic belts have been successfully used to reduce pain and improve function but are not a practical solution for athletes. Therefore, there is scope to explore the use of a more dynamic intervention developed to aid in the management of this type of injury.Objectives:To undertake a preliminary investigation into the effectiveness of a dynamic elastomeric fabric orthosis (DEFO) in supporting the management of athletic pelvic and groin injury.Design:A case series with an AB design. Daily assessments were undertaken over 15 days; the onset of intervention was randomized with a minimum baseline period of 6 d. Follow-up assessment was undertaken after 1 mo.Settings:Community and university.Participants:8 athletes presenting with pelvic or groin injury confirmed through clinical screening.Intervention:A bespoke DEFO.Main Outcome Measures:Force produced on bilateral resisted hip adduction and self-scored pain (using a numerical rating scale of 0–10) at rest and during an active straight-leg raise and a broad jump.Results:In 7 cases a significant improvement was observed on at least 1 measure (2-SD method, celeration line, and/or the point of nonoverlapping data). The remaining case showed minimal symptoms during testing.
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Robertson, G. A. J., and C. H. C. Arthur. "Femoral neck stress fractures from long distance running: a case series." Journal of The Royal Naval Medical Service 104, no. 2 (2018): 101–6. http://dx.doi.org/10.1136/jrnms-104-101.
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AbstractFemoral neck stress fractures (FNSFs) comprise 3% of all sport-related fractures, and 8% of military stress fractures. They are associated with significant morbidity; if they develop subsequent avascular necrosis of the femoral head, from late detection and fracture displacement, they require a total hip replacement in a young active individual.Knowledge of the different patterns of FNSFs, their varying presentations and their different management techniques is key for sports and military health professionals involved in the care of these injuries, to ensure optimal treatment and outcome.We report four cases of FNSFs from long distance running. Three of the four athletes returned to long distance running following their injury at mean of 7 months; however, despite two athletes participating in marathon running pre-injury, none returned to marathon running post-injury.All clinicians involved with such patients should always remain vigilant for FNSFs in any patient who presents with exercise-related hip or groin pain.
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Nordstrøm, Anine, Roald Bahr, Ove Talsnes, and Ben Clarsen. "Prevalence and Burden of Health Problems in Male Elite Ice Hockey Players: A Prospective Study in the Norwegian Professional League." Orthopaedic Journal of Sports Medicine 8, no. 2 (February 1, 2020): 232596712090240. http://dx.doi.org/10.1177/2325967120902407.
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Background: As previous epidemiological studies in elite ice hockey have focused on acute time-loss injuries, little is known about the burden of overuse injuries and illnesses in ice hockey. Purpose: To report the prevalence and burden of all health problems in male professional ice hockey players in Norway during a single competitive season. Study Design: Descriptive epidemiological study. Methods: A total of 225 male ice hockey players in the GET League (the premier professional league) in Norway reported all health problems (acute injuries, overuse injuries, and illnesses) during the 2017-2018 competitive season. Players reported all injuries and illnesses for 31 weeks using the Oslo Sports Trauma Research Center Questionnaire on Health Problems. Results: At any given time, 40% (95% CI, 37%-43%) of players reported symptoms from an injury or illness, and 20% (95% CI, 19%-22%) experienced health problems with a substantial negative impact on training and performance. Acute injuries represented the greatest incidence, prevalence, and burden (defined as the cross-product of severity and incidence). The most burdensome acute injuries were to the head/face, shoulder/clavicle, knee, and ankle. The most burdensome overuse injuries were to the knee, lumbar spine, and hip/groin. Conclusion: This registration captured a greater burden from overuse injuries than traditional injury registration, but acute injuries did represent a major problem. These data provide guidance in the development of prevention programs for both acute and overuse injuries, which should focus on the lumbar spine, hip/groin, and knee.
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Tak, I., P. Glasgow, R. Langhout, A. Weir, G. Kerkhoffs, and R. Agricola. "Hip range of motion is associated to Hip and groin symptoms and previous injury, independent of the presence of cam deformities." Manual Therapy 25 (September 2016): e80-e81. http://dx.doi.org/10.1016/j.math.2016.05.132.
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Marshall, Brendan M., Andrew D. Franklyn-Miller, Kieran A. Moran, Enda A. King, Siobhán C. Strike, and Éanna C. Falvey. "Can a Single-Leg Squat Provide Insight into Movement Control and Loading During Dynamic Sporting Actions in Patients With Athletic Groin Pain?" Journal of Sport Rehabilitation 25, no. 2 (May 2016): 117–25. http://dx.doi.org/10.1123/jsr.2014-0274.
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Context:Chronic athletic groin pain (AGP) is common in field sports and has been associated with abnormal movement control and loading of the hip and pelvis during play. A single-leg squat (SLS) is commonly used by clinicians to assess movement control, but whether it can provide insight into control during more dynamic sporting movements in AGP patients is unclear.Objective:To determine the relationships between biomechanical measures in an SLS and the same measures in a single-leg drop landing, single-leg hurdle hop, and a cutting maneuver in AGP patients.Design:Cross-sectional study.Setting:Biomechanics laboratory.Patients:40 recreational field-sports players diagnosed with AGP.Intervention:A biomechanical analysis of each individual’s SLS, drop landing, hurdle hop, and cut was undertaken.Main Outcome Measures:Hip, knee, and pelvis angular displacement and hip and knee peak moments. Pearson product–moment correlations were used to examine relationships between SLS measures and equivalent measures in the other movements.Results:There were no significant correlations between any hip or pelvis measure in the SLS with the same measures in the drop landing, hurdle hop, or cut (r = .03–.43, P > .05). Knee frontal- and transverse-plane angular displacement were related in the SLS and drop landing only, while knee moments were related in the SLS, drop-landing, and hurdle hop (r = .50–.67, P < .05).Conclusion:For AGP patients, an SLS did not provide meaningful insight into hip and pelvis control or loading during sporting movements that are associated with injury development. The usefulness of an SLS test in the assessment of movement control and loading in AGP patients is thus limited. The SLS provided moderate insight into knee control while landing and therefore may be of use in the examination of knee-injury risk.